Master of Education Application Form - Aga Khan University

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THE AGA KHAN UNIVERSITY 

Tanzania Institute of Higher Education 

Institute for Educational Development, East Africa 

Master of Education 

Application Form 

For office use only 

Application No: _______________ Received: _______________ Class of: ______________ 

Instructions 

• Please fill out the application form (pages 2-‐5); 

• Complete a personal statement (see page 5); 

• If applicable, ask your Principal to fill out the bonding agreement (page 6); 

• Ask two people, including your Principal if working in an educational establishment, to 

complete a reference (brief and names of referees on page 7, letters to give referees on 

pages 8 and 9); 

• Provide TWO passport-‐size colour photographs with the application; 

• Provide copies of all academic and professional certificates. (Candidates will be asked to 

produce originals both when attending interview, if shortlisted, and on arrival in Dar es 

Salaam, if offered a place). 

DEADLINE FOR RECEIPT OF APPLICATIONS: SEPTEMBER 16, 2013 

P. O. Box 125, Plot Number 344, Salama House, Urambo Street, off United Nations Road, Dar-es-Salaam, Tanzania 

Telephone +255 (0) 22 215 0051, Fax +255 (0) 22 215 0875, Email address: : regoff.tz@aku.edu 

Page 1 of 10

Personal data 

Full name: ______________________________________________________________________________________________ 

If you have previously been known by another name (eg. before marriage) please give it here: 

___________________________________________________________________________________________________________ 

Gender: Male Female 

Date of Birth: ____/____/_______ Nationality:_____________________ Passport No:_______________________ 

DD MM YEAR 

(If you have one) 

Permanent Address (to which all correspondences should be directed) 

___________________________________________________________________________________________________________ 

P.O. Box: ________________ City: ________________________________ Country: _______________________________ 

Tel. Number: ___________________________________ Mobile Number: _____________________________________ 

Email: ____________________________________________________________ 

Application route – Select the ONE that applies to you 

Self-‐funded / private sponsorship local (from an East African Community (EAC) or 

Southern African Development Community (SADC) country) 

Self-‐funded / private sponsorship international (outside EAC and SADC countries) 

AKU scholarship 

Building Capacity for Mathematics Teaching in Rural and Remote Communities Project 

(Tanzania only) 

Strengthening Educational Systems in East Africa (SESEA) 

AWALI Reads Language and Literacy Project (Tanzania only) 




If Building Capacity for Mathematics Teaching, SESEA or AWALI Reads, please indicate which area 

you work in or live: 

_____________________________________________________________________________ 

Other, please specify: ____________________________________________________ 

Note: Those candidates for admission who are employed by the government and are wishing to seek 

paid study leave will have to secure clearance according to Ministry regulations. 

Have you previously applied or studied at AKU Yes No 

If yes, provide year: ____________________ 

Name of Course / Programme: ______________________________________ 

Academic and professional qualifications 

Please include below and overleaf, if required, all programmes of study that were of at least 100 

hours in duration. Please attach photocopies of certificates, noting that, if shortlisted, you will 

need to produce originals at interview (see the front page) 

Name of 

Institution 

Attendance 

Dates 

Qualification 

Obtained 

Classification / 

GPA / %age 




Employment information 

Name of current employer: ____________________________________________________________________________ 

Your employee reference number (e.g. TSC No or PF No.): _________________________________________ 

Name of institution in which you are employed:_____________________________________________________ 

Institution’s contact address:__________________________________________________________________________ 

P.O. Box ___________________ Town:_______________________ Country:_____________________________________ 

Tel. number: ____________________________________ Email: ________________________________________________ 

School system (eg. AKES, Government, Private): ____________________________________________________ 

Years of teaching experience: _________________________________________________________________________ 

Other related experience ______________________________________________________________________________ 

___________________________________________________________________________________________________________ 

Your teaching subjects: (1)_________________________________ (2) _______________________________________ 

Current position and responsibilities:___________________________________________________ 

______________________________________________________________________________________ 

Please list all previous positions held in educational institutions. Use overleaf, if required: 

Name of institution City and country Teaching subjects / 

leadership responsibilities 

Dates 




Accommodation 

Do you require University arranged accommodation ☐ Yes ☐ No 

Please note that if you are a privately sponsored student, this will be subject to availability. For 

information on availability and costs of accommodation, please contact the Assistant Registrar, 

Tanzania. Contact details are listed at the end of this Application Form. 

Do you have any special needs that the University needs to be aware of ☐ Yes 

☐ No 

If yes, please specify: ________________________________________________________________________________________ 

Specialisation in the Master of Education Programme 

Indicate below the specialisation you would like to choose for the MEd programme. This area of 

specialisation should be decided in consultation with the head of your organization. 

☐ Educational leadership and management 

☐ Early childhood care and education 

☐ Language and literacy in education 

☐ Science in education 

☐ Mathematics in education 

Personal statement 

Please attach a statement of approximately 1000 words explaining why you are applying for this 

programme. Your statement must be word-‐processed. This will be evaluated as part of the 

shortlisting process. 

Declaration 

“I confirm that the information I have given is correct and that no relevant information has been 

omitted. I understand that the University reserves the right to withdraw any offer or cancel a 

registration made on the basis of information which proves to be false or misleading.” 

Signature: ___________________________________________ 

Date:________________________ 




Bonding Agreement 

Applicant’s Name: ________________________________________________________ 

Employment Number: ________________________________ 

i. The (employer) ________________________________________________ agrees to second and grant leave to 

the above candidate for one year to undertake the Master of Education Programme at AKU-‐ 

IED, EA. 

ii. During the MEd programme the candidate be entitled to all benefits as per service rules of the 

institution. 

iii. 

iv. 

On successful completion of the MEd programme the employer: 

___________________________ will allow the candidate to work with AKU-‐ 

IED, EA as a facilitator on at least one Certificate programme or on any other academic 

activity for a total duration of six months, in the period of three years following programme 

completion or longer if by mutual agreement. To the best of its ability, AKU-‐IED, EA will 

arrange certificate programmes primarily during school holidays. 

In case any candidate does not comply with the conditions of the agreement, you as the 

employer will assist AKU-‐IED, EA to enforce the relevant clauses of the agreement signed 

with the candidate. 

On behalf of AKU-‐IED, EA 

Name 

Designation 

Signature 

Date 

On behalf of employer 

Name 

Designation 

Signature 

Date 




References 

Please list the names and addresses of your TWO referees. Letters to give your referees can be 

found in the next two pages. Please could you include your name on the form and give them to 

your referees. One referee should be your current Principal if you are working in an educational 

institution. Both referees should be familiar with your personal, academic and professional 

background, who understand your educational goals, and who can verify your ability to teach and 

complete a graduate education. 

Please ask your referee to write a reference for you and either send it directly to IED-‐EA or give it 

to you in a sealed envelope for you to send on with your application. 

Please note: you will not be considered for shortlisting until we have received both references. 

Referee 1 

Name: _______________________________________________________________________________ 

Designation: ________________________________________________________________________ 

Institution: __________________________________________________________________________ 

Postal Address: _____________________________________________________________________ 

_______________________________________________________________________________________ 

Tel. Number: ________________________________________________________________________ 

Email: _______________________________________________________________________________ 

Referee 2 

Name: _______________________________________________________________________________ 

Designation: ________________________________________________________________________ 

Institution: __________________________________________________________________________ 

Postal Address: _____________________________________________________________________ 

_______________________________________________________________________________________ 

Tel. Number: ________________________________________________________________________ 

Email: _______________________________________________________________________________ 




From the Registrar’s Office: 

Admissions 

Email: regoff.tz@aku.edu 

Tel: +255 22 215 0051 

Institute of Educational Development 

Salama House 

Urambo Street 

P O Box 125 

Dar es Salaam 

Tanzania 

July 2013. 

Dear Referee, 

Re: reference for _____________________________________________________________________________________________ 

The above named person has applied for a place on the one-‐year, full-‐time Master of Education 

programme at the Institute of Educational Development, Aga Khan University based in Dar es 

Salaam, Tanzania. We understand that you have kindly agreed to act as a referee. 

In your reference it would be very helpful if you address the following points: 

-‐ 

-‐ 

-‐ 

-‐ 

-‐ 

-‐ 

In what capacity do you know the applicant For how long have you known the applicant 

What do you consider the applicant’s most outstanding talents or characteristics What 

are the applicant’s major strengths 

What areas does the applicant need to develop and improve 

Do you think that the applicant is able to benefit from an intensive academic course 

delivered in English 

Do you consider that the applicant has the potential to become a successful professional 

development teacher and / or leader in their field 

Is there any other useful information which would help us consider this applicant’s case for 

a place on the Master of Education programme 

When you have written the reference, please could you either give it to the applicant in a sealed 

envelope to forward on to us with the rest of their documentation, or send it to us directly as 

below. Please note that we will be using your reference to help us decide whether to shortlist or 

not – your early response to this request would be much appreciated. 

If you need any further information please contact us as above. Meanwhile, our thanks once again 

for your help in this matter, 

AGATHA DAMAS 

Assistant Registrar, Tanzania 




From the Registrar’s Office: 

Admissions 

Email: regoff.tz@aku.edu 

Tel: +255 22 215 0051 

Institute of Educational Development 

Salama House 

Urambo Street 

P O Box 125 

Dar es Salaam 

Tanzania 

July 2013. 

Dear Referee, 

Re: reference for _____________________________________________________________________________________________ 

The above named person has applied for a place on the one-‐year, full-‐time Master of Education 

programme at the Institute of Educational Development, Aga Khan University based in Dar es 

Salaam, Tanzania. We understand that you have kindly agreed to act as a referee. 

In your reference it would be very helpful if you address the following points: 

-‐ 

-‐ 

-‐ 

-‐ 

-‐ 

-‐ 

In what capacity do you know the applicant For how long have you known the applicant 

What do you consider the applicant’s most outstanding talents or characteristics What 

are the applicant’s major strengths 

What areas does the applicant need to develop and improve 

Do you think that the applicant is able to benefit from an intensive academic course 

delivered in English 

Do you consider that the applicant has the potential to become a successful professional 

development teacher and / or leader in their field 

Is there any other useful information which would help us consider this applicant’s case for 

a place on the Master of Education programme 

When you have written the reference, please could you either give it to the applicant in a sealed 

envelope to forward on to us with the rest of their documentation, or send it to us directly as 

below. Please note that we will be using your reference to help us decide whether to shortlist or 

not – your early response to this request would be much appreciated. 

If you need any further information please contact us as above. Meanwhile, our thanks once again 

for your help in this matter, 

AGATHA DAMAS 

Assistant Registrar, Tanzania 




Checklist for submission of application form 

Please check that you have included the following documents before sending the application: 

☐ Application form 

☐ Two passport size photographs (attached to page 1) 

☐ Copies of certificates and transcripts 

Provide a copy of all transcripts from Bachelor’s degree(s) and above. Include transcripts 

for programmes for which no degree was awarded. Copies of certificates of completion of 

Teacher Education programmes will also be required. 

☐ Two references 

If your referee(s) decide(s) to send the reference directly to us, please indicate this in a 

covering letter. Remember: your application will not be processed until these are 

received. 

☐ Personal statement 

See page 5. 

☐ Bonding agreement (if applicable) 

Note: Please ensure you provide all the above documents. Incomplete applications will 

not be processed. 

Candidates should send or deliver all application materials at the same time and in a single package 

to the Registrar’s Office, AKU-‐IED East Africa, Salama House, Urambo Street, P.O. Box 125, Dar es 

Salaam, Tanzania. Email: regoff.tz@aku.edu, tel: +255 (0) 22 215 0051. 

DEADLINE FOR RECEIPT OF APPLICATIONS: SEPTEMBER 16, 2013

Master of Education Application Form - Aga Khan University

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